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Overall Level of Evidence for Hydrazine Sulfate
Several clinical case series conducted by Russian investigators have indicated that hydrazine sulfate has marginal anticancer activity, but these results are considered inconclusive due to the lack of control groups and insufficient information provided about study methodology. Well-controlled clinical studies conducted in the United States have shown no evidence of anticancer activity. In addition, evidence concerning the effectiveness of hydrazine sulfate as a treatment
for cancer-related cachexia and anorexia is inconclusive. Furthermore,
hydrazine sulfate has been shown to increase the incidence of several types of
tumors in animals, and it has been classified as a potential carcinogen by the
National Toxicology Program of the U.S. Department of Health and Human
Services. The use of hydrazine sulfate as an anticancer drug outside the context of clinical trials
has not been approved by the U.S. Food and Drug Administration and, thus, cannot be recommended.
Separate levels of evidence scores are assigned to qualifying human studies on the basis of statistical strength of the study design and scientific strength of the treatment outcomes (i.e., endpoints) measured. The resulting two scores are then combined to produce an overall score. For additional information about levels of evidence analysis, refer to Levels of Evidence for Human Studies of Cancer Complementary and Alternative Medicine 1.
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Glossary Terms
anorexia
An abnormal loss of the appetite for food. Anorexia can be caused by cancer, AIDS, a mental disorder (i.e., anorexia nervosa), or other diseases.
cachexia (ka-KEK-see-a)
Loss of body weight and muscle mass, and weakness that may occur in patients with cancer, AIDS, or other chronic diseases.
carcinogen (kar-SIN-o-jin)
Any substance that causes cancer.
case series
A group or series of case reports involving patients who were given similar treatment. Reports of case series usually contain detailed information about the individual patients. This includes demographic information (for example, age, gender, ethnic origin) and information on diagnosis, treatment, response to treatment, and follow-up after treatment.
clinical study
A type of research study that tests how well new medical approaches work in people. These studies test new methods of screening, prevention, diagnosis, or treatment of a disease. Also called a clinical trial.
control group
In a clinical trial, the group that does not receive the new treatment being studied. This group is compared to the group that receives the new treatment, to see if the new treatment works.
endpoint
In clinical trials, an event or outcome that can be measured objectively to determine whether the intervention being studied is beneficial. The endpoints of a clinical trial are usually included in the study objectives. Some examples of endpoints are survival, improvements in quality of life, relief of symptoms, and disappearance of the tumor.
investigator
A researcher in a clinical trial or clinical study.
levels of evidence (LEH-vulz uv EH-vih-dents)
A ranking system used to describe the strength of the results measured in a clinical trial or research study. The design of the study (such as a case report for an individual patient or a randomized double-blinded controlled clinical trial) and the endpoints measured (such as survival or quality of life) affect the strength of the evidence.
scientist
A person who has studied science, especially one who is active in a particular field of investigation.
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Table of Links
| 1 | http://cancer.gov/cancertopics/pdq/levels-evidence-cam/HealthProfessional |
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